| Caddis Fly Counseling | |
|
275 S 5th Ave Ste 125 Pocatello ID 83201-6411 | |
| (208) 820-8010 | |
| (208) 820-8014 |
| Full Name | Caddis Fly Counseling |
|---|---|
| Speciality | Counselor - Professional |
| Location | 275 S 5th Ave Ste 125, Pocatello, Idaho |
| Authorized Official Name and Position | Jessica Ann Sellman (OWNER/CLINICIAN) |
| Authorized Official Contact | 2088208010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caddis Fly Counseling 275 S 5th Ave Ste 125 Pocatello ID 83201-6411 Ph: (208) 820-8010 | Caddis Fly Counseling 275 S 5th Ave Ste 125 Pocatello ID 83201-6411 Ph: (208) 820-8010 |
| NPI Number | 1922821818 |
|---|---|
| Provider Enumeration Date | 11/07/2024 |
| Last Update Date | 11/07/2024 |
| Certification Date | 11/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922821818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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